| NPI | 1437270923 |
|---|---|
| Doing Business As | LAWRENCEVILLE THERAPY AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | REGINA ELVIS President 770-378-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: GA MT004268) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2009-08-22 |